Healthcare Provider Details

I. General information

NPI: 1851508758
Provider Name (Legal Business Name): BIRGITTE BONNING ESPITIA PH.D., MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 11/04/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N NASH ST
HILLSBOROUGH NC
27278-2034
US

IV. Provider business mailing address

136 EAST CHAPEL HILL ST. EL FUTURO
DURHAM NC
27701
US

V. Phone/Fax

Practice location:
  • Phone: 919-644-6590
  • Fax:
Mailing address:
  • Phone: 919-688-7101
  • Fax: 919-688-7102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: